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!he Eri'il'rrrn <br />� �,; ��� <br />everett <br />CITY HALL 259�B7C5 <br />CONSTRU� 1 ivr' <br />PERMIT PERMITNO. 14OH�. <br />EVERETT.WA98201 �] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL FO�R[55 CITV 2iP PMONE <br />FI ORFNfF f]ANL Sa15 Beverl v I an Fveret�__ <br />ARCNITECi OH OESIGNER AIL A�OFEFS CrtV ZIP PHONE <br />GENEPRL GONTRRCtOR MAIL ADDRE55 LIl" ZIP PHONE IIGENSE � <br />fIONAL� B, WTT7F_ ;_ PO BOX 198 Startup_ S Q�ITTE�Sl77LH <br />MECIIANICAL CONTRACiOR MAI� ADDRE55 CIiY ZIP PMONE LICEN51 � <br />PI.UMBING GONiRACiOR �ARII AOONESS GITY ZIP PMONE LICENSE � <br />❑ NEW ❑ ADDI110N ❑ ALTERATION WiHEPAIR ❑ OEMOLIiION ❑ FENCE ❑ SIGN ❑ WOOD STOVE1FIflEPLACE INSERT <br />VALUArT�ION OF WOPK <br />f G24�.0� <br />Raise front wall, house has settled <br />Residence <br />LEGAL DESGHIPi101: OF PNOPERtt �SMON <br />LOT _ BLOCN _ OP _ <br />J09 AD�RESS <br />5315 BEVERLY LANE <br />PLUMBIN6 <br />NO. TYPE OF FI%TURE <br />WA f ER CLOSET QOILEp <br />BATHTUB <br />LAVATORY�WASH 9ASIN) <br />SHOWER <br />KITCMEN SINK d DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />VAGUUM BREANERS <br />ROOF DRAINS — RAINLL�A�ERS <br />SINK ISERVICE — BAfi, ETC 1 <br />70TAL FEE <br />BASEMENT <br />APPNOVALS <br />1. ENVIRONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYORAN7 <br />4. FIRE PRO7EC710N SYSTEM <br />5. GRADING <br />6.OR41NAGE <br />7. EN VIRONMENTAL I MPACT STATEMENT <br />B. HEALTH OISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO �E TRUE AND <br />FOURCOPIE51 CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES <br />GOVERNIMG THIS TYPE OF WORK W�LL BE COMPLIED WITH <br />— WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEAMIT DOES NOT PfiESUME TO GIVE AUTHOfiITY TO VIOLATE <br />OR CANCEL THE PROVISIUNS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THL <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURiOF CONTRACiON OR RUtHCR12E� AGENT OAIE <br />FEE <br />� <br />S <br />f <br />flEAR YAFD SETBACk. <br />VACANT SITE <br />YES NO <br />NO. OF OWELLING U� <br />MA)'.00G LOAD <br />FIRE SPRINKLERS <br />REOUflED <br />VES NO <br />6V DA7E <br />dab <br />� <br />MECHANICAL <br />AIR CUND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAG <br />FORCED AIR SYSTEMS — B.T.U. <br />WALI HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLEFS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — <br />STUVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />MEAT PUMP <br />M EA. <br />M <br />M <br />QF.M. <br />10/22/84 <br />FEE <br />SUB 70TAL f <br />PERMIT f <br />TOTAL FEE f <br />C NUMBER PLAN CHECK FEE <br />FEE FIECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTMEF <br />PENALTY SECV90J�a� <br />TOTAL 38 50 <br />PERMIT VALIDA710N <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THI$ IS, V�1U PEFj�diT � <br />�7 � _:,,—� <br />� <br />`4} <br />BY ; ' Ii T `� <br />� ii <br />i� . <br />ADDkE55 FILE <br />T � � <br />